News

27 03, 2017

Multi Speciality Health Problems – Muir Gray

2018-01-31T23:32:29+00:00

This week I went to my second conference with pharmacists, and was very impressed about the grasp of the issues that we face. Tremendous opportunities exist for shifting resources from lower value activity to higher value activity, using our basic unit of value namely £76,000 to employ a district nurse and a care assistant for a year, as the test. Some of these moves appear to be relatively simple, the shift to generic prescribing for example, but others are more complex because they involve clinical judgement. One issue that comes up consistently is the prescribing of medication for people with [...]

Multi Speciality Health Problems – Muir Gray 2018-01-31T23:32:29+00:00
17 03, 2017

TGIV and it is Friday – Healthcare Scientists Ahoy!

2018-01-31T23:32:37+00:00

Thank G** It’s Value – Thank G** It’s Friday, the weekly blog from Muir Gray in Oxford to supplement our Healthcare Value Briefing. Healthcare Scientists Ahoy! I have attended two very good conferences in the last ten days, with one of my favourite professional groups – the healthcare scientists. One was the Annual Conference of the Chief Scientific Officer -  Professor Sue Hill, the other was the annual conference of the Medical Science Liaison staff from pharmaceutical industries. The first Diagnostics Atlas of Variation showed huge variation in testing, and of course scientists have to respond to requests or demands… but [...]

TGIV and it is Friday – Healthcare Scientists Ahoy! 2018-01-31T23:32:37+00:00
1 03, 2017

Oxford Healthcare Value Briefing – No. 2

2018-01-31T23:32:49+00:00

This new online monthly briefing from Better Value Healthcare in Oxford will provide the latest information on value, based on work in; Oxford, NHS Right Care, and the International literature, because the paradigm shift can be seen in many countries. The highlight of the month is the publication of the Second Report of Scotland’s CMO on Realistic Medicine http://www.gov.scot/Resource/0049/00492520.pdf, from Cath Calderwood – CMO Scotland, also read her latest blog on the second annual report – This second report has the great title Realising Realistic Medicine and here is the definition from the Executive Summary “Realistic Medicine puts the person receiving health and [...]

Oxford Healthcare Value Briefing – No. 2 2018-01-31T23:32:49+00:00
24 02, 2017

TGIV and it is Friday

2018-01-31T23:32:59+00:00

Look out for this new important report, being released on Monday 27th February 2017. **Update** - Here it is http://www.gov.scot/Resource/0051/00514513.pdf Realising Realistic Medicine – the second Report of Scotland’s dynamic Chief Medical Officer on their brilliant concept which is now being implemented. Read the first report now to orientate you for Monday’s launch - http://www.gov.scot/Resource/0049/00492520.pdf

TGIV and it is Friday 2018-01-31T23:32:59+00:00
17 02, 2017

TGIV Thank G** It’s Friday

2018-01-31T23:33:06+00:00

Thank G** It’s Value – Thank G** It’s Friday, the weekly blog from Muir Gray in Oxford to supplement our Healthcare Value Briefing. Another big week for Value Based Healthcare. The presentation to the NHS Board on RightCare and the wonderful work being led by Tim Briggs on improving quality and releasing resources called GIRFT –Getting It Right First Time to the NHS Board on the 9th of Feb is now up on the NHS Youtube channel, here. The questions and discussion are well worth a look. We emphasised we are not interested in savings but in higher value. Secondly, Anant [...]

TGIV Thank G** It’s Friday 2018-01-31T23:33:06+00:00
9 02, 2017

TGIV – Thank G** It’s Friday

2018-01-31T23:33:18+00:00

Thank G** It's Value – Thank G** It’s Friday, the weekly blog from Oxford to supplement our Healthcare Value Briefing on Waste Our first Oxford Healthcare Value briefing highlighted the importance of the OECD report on the need for ‘Better Value Care’. It emphasised that to get better value healthcare it was essential to stop ineffective interventions and reduce waste, and an online editorial in the BMJ, which will be published in paper, develops the waste theme in the OECD document. The editorial is written by two people who really understand not only the theory but the application of the theory [...]

TGIV – Thank G** It’s Friday 2018-01-31T23:33:18+00:00
1 02, 2017

NEW: Oxford Healthcare Value Briefing – No. 1

2018-01-31T23:33:28+00:00

This new online monthly briefing from Better Value Healthcare in Oxford will provide the latest information on value, based on work in; Oxford, NHS Right Care, and the International literature, because the paradigm shift can be seen in many countries. Try reading the strategy paper on Realistic Medicine from Scotland’s CMO as an excellent example of the new way of thinking. Value has arrived, big time. January saw the publication of a number of significant papers on value; • The Lancet (2017) The Right Care Series http://www.thelancet.com/series/right-care This Series of four papers and accompanying comments examines the extent of overuse and [...]

NEW: Oxford Healthcare Value Briefing – No. 1 2018-01-31T23:33:28+00:00
31 10, 2016

Monday 31st October 2016 – Value Based Healthcare Blog from Oxford: How Are Allocative Value Decisions Best Made?

2018-01-31T23:33:37+00:00

In situations where additional resources are available for allocation,  cuts are required or there is a need to consider increasing expenditure in one programme budget by reducing that in  another. For this, a technique known as  marginal analysis is used. (1) ‘The task of measuring costs and benefits should be done through marginal analysis.   This involves starting with a particular mix of services and analysing changes in that mix.   If resources can be shifted to produce greater benefit then this should be done.’ (2). In this description of marginal analysis, it is assumed that all decision-making leading up to the current [...]

Monday 31st October 2016 – Value Based Healthcare Blog from Oxford: How Are Allocative Value Decisions Best Made? 2018-01-31T23:33:37+00:00
24 10, 2016

Monday 24th October 2016 – Value Based Healthcare Blog from Oxford: What Is Allocative Value?

2018-01-31T23:33:45+00:00

The NHS Right Care programme has set out a Triple Value challenge for the NHS, read Director Matthew Cripps outline here Here is some more information about the term Allocative Value: Bottom line: This is the value determined by the allocation of resources. Significance: There are three different types of value, including; - Allocative value, achieved when allocation is optimal - Technical value, achieved with the use of resources for the population is optimal and, - Personal value The term allocative value is rarely used. It is more common to use a well recognised economist’s term allocative efficiency which is defined below: Alain [...]

Monday 24th October 2016 – Value Based Healthcare Blog from Oxford: What Is Allocative Value? 2018-01-31T23:33:45+00:00
1 06, 2016

June 2016 – White Rabbit Newsletter

2018-01-31T23:34:08+00:00

Sign up here to receive the ‘White Rabbits’ newsletter. Sent the 1st of every month. June 2016’s White Rabbit! White Rabbits, White Rabbits, White Rabbits For luck each 1st of the month…. (https://en.wikipedia.org/wiki/Rabbit_rabbit_rabbit) I chose this title for a newsletter I had planned when I was told that the Department of Health would not approve any more newsletters, taking the title from the wonderful book on The Language and Lore of Childhood by Iona and Peter Opie. I was then able to say “but it’s not a newsletter, it’s White Rabbits” Professor Sir Muir Gray Book of the Month - Treating Individuals [...]

June 2016 – White Rabbit Newsletter 2018-01-31T23:34:08+00:00